Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Paul Place Specialists, Inc

Organization Dermatology Physician · NPI 1730054065

St Paul Place Specialists, Inc is a Dermatology Physician in Columbia, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9821 Broken Land Pkwy
Columbia, MD 21046-1161
Phone: (410) 332-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Dermatology Physician Taxonomy 207N00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Gynecologic Oncology Physician Taxonomy 207VX0201X
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1730054065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Deibel — Executive Vice President/Cfo · (410) 659-2905
Other names Spps Columbia Broken Land
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address301 St Paul Place, Medical Staff Office, Baltimore, MD 21202-2102

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